Andrea Teresa Willson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134826 Issued in CA

Practice address

101 Jefferson Dr
Menlo Park, CA 94025-1114

Phone

(650) 800-3797

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willson Therapy

  • Marriage & Family Therapist
  • Menlo Park, CA
  • NPI 1134007164
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1508536350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JEFFERSON DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251114",
            "telephone_number": "650-800-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JEFFERSON DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251114",
            "telephone_number": "650-800-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "ANDREA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123153",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@willsontherapy.com",
            "affiliation": "N",
            "address_1": "101 Jefferson Dr",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940251114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula Lynn Wilbourne, PHD
• Catherine Marie Wilkes, MD
• Christian Lewis Williams, PHD
• Monique Daneyell Williams
• Willson Therapy
• Shiva Wilson
• Mirene Winsberg, M.D.
• Ashley Witt, PH.D.
• Claire Wolf, LMFT
• Albert Wong, MD

• Marriage & Family Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.